Summary of the invention
Technical problem to be solved by this invention is the above-mentioned deficiency at prior art, thus provide a kind of simple in structure, operation is convenient, the treatment cost is low, can make lesion tissue that the ultrasonic therapeutic pincers that coagulation necrosis prevents patient's severe loss of blood and has extensive use takes place rapidly in therapeutic process.
The technical scheme that solution the technology of the present invention problem is adopted is that this ultrasonic therapeutic pincers comprises ultrasonic therapeutic head, the handle that is connected with ultrasonic therapeutic head is arranged, handle is a tong-like, the ultrasonic therapeutic head of two axis coincidences is relatively arranged on the clamp of tong-like handle, is connected with between two clamps and remains parallel mobile parallel moving mechanism when two ultrasonic therapeutic heads are moved with clamp.
Described ultrasonic therapeutic head also can include connection tube, and an end of connection tube is connected with ultrasonic therapeutic head, and the other end is connected with the clamp of tong-like handle, and described parallel moving mechanism is connected between the two relative connection tubes.
Preferably, described connection tube is connected by the clamp of union joint with the tong-like handle, and the end that union joint is connected with connection tube has liquid in-out passage and electrical signal paths, and described liquid in-out passage and electrical signal paths are communicated with ultrasonic therapeutic head.This liquid in-out passage can cool off ultrasonic transducer in therapeutic process as cooling duct of the present invention, and the liquid coolant that is adopted is generally liquid water.
In actual use because the size of destination organization is different with shape, between union joint and ultrasonic therapeutic head, can be connected by adaptor, because adaptor can rotate freely, so ultrasonic therapeutic head can rotate freely on adaptor, can carry out the conversion of transverse focusing and longitudinal focusing mode.
Parallel moving mechanism all is on same the straight line the burnt territory of two ultrasonic therapeutic heads under any aperture of treatment pincers, that is to say, make the axis of two ultrasonic therapeutic heads remain coincidence, like this, when treatment needs high-intensity ultrasonic energy, can carry out adding up of ultrasonic energy, promptly two ultrasonic therapeutic heads act on same focus simultaneously, strengthened therapeutic effect, in therapeutic process, make the time that the required cost of coagulation necrosis takes place thicker lesion tissue (as liver, spleen) be less than ultrasonic therapeutic head of the prior art greatly, saved the treatment cost.Because the ultrasonic energy that is discharged is not to concentrate on the ultrasonic transducer, therefore can not damage other internal organs simultaneously.
Described parallel moving mechanism can comprise the parallelogram telescoping mechanism that a plurality of mutually hinged contiguous blocks are formed, be with slip cap sliding back and forth on the connection tube, contiguous block that the parallel moving mechanism outer end is one jiao and described slip cap are hinged, and the contiguous block at its another angle, outer end is fixed on the clamp.
Described parallel moving mechanism also can be telescopic tube assembly, the little hollow pipe that this telescopic tube assembly comprises the big hollow pipe that diameter is different and is sleeved on scalable slip in the big hollow pipe.
Described ultrasonic therapeutic head comprises ultrasonic transducer and fluidic fluid container can be housed, and ultrasonic transducer places in the fluid container, and the open-mouth of fluid container is fixed with sound passing membrane by sealing device.
Wherein, the preferred de aerated water of described fluid.Described ultrasonic transducer can adopt according to the needs of practical situation and focus on or non-focusing ultrasonic transducer, makes the present invention also can be widely used in treating other disease such as tumor, dermatosis etc.
Also can be provided with support in the described fluid container, ultrasonic transducer places on the support.Preferably, also focal length adjustment device can be arranged on fluid container, an end of described focal length adjustment device stretches in the fluid container and is connected with support.
Described focal length adjustment device can include the screw rod that is connected with support, be enclosed within sealing ring on the screw rod and sealing nut, the adjusting knob on the sealing nut, place the trip bolt on the adjusting knob, and sealing ring is close to the fluid container outer wall.
Also can have the notch in order to the guide member that ultrasonic therapeutic is installed in the described ultrasonic transducer, the guide member of described ultrasonic therapeutic can be photogenerator or Ultrasonic-B probe.Fixing photogenerator in this notch, treat accurately in order to the guiding ultrasonic transducer, before treatment, the operator can come the position of locating therapy head on the destination organization surface according to the position of photogenerator institute emitted light beams, to determine to treat the focus point/line of head and the position that diode beam has intersection point.Fixedly supersonic imaging apparatus such as Ultrasonic-B probe in this notch in order to the destination organization imaging, carry out ultrasonic therapeutic with guiding.
In order to prevent to the burning of destination organization, also can include in the described ultrasonic therapeutic head to be fixed on the temperature sensor of two ultrasonic transducer opposite faces (promptly two ultrasonic transducers clamp the one side of destination organizations).Because it is frivolous that the diaphragm type temperature sensor has, preferred temperature sensor is the diaphragm type temperature sensor.
The locker that the fixed handle position also can be arranged in the middle of two handle heads.Like this, when both reach allocation under the drive of parallel moving mechanism at handle as stretching motion after, this locker can be fixed two positions that handle is current, is convenient to treat.
The present invention excises the rich blood vessel tissue (such as spleen at some, kidney, liver etc.) before the operation, utilize high-intensity focusing ultrasonic wave between needs cutting zone and reserve area, to form a coagulation necrosis zone, like this in the operation of tissues such as hepatectomizing, just can be the cutting zone of this coagulation necrosis zone as scalpel, because treating this kind structure of pincers, the present invention very easily carries out manual mode operation in the operator, make two ultrasonic therapeutic heads clamp destination organization by controlling two clamps, effective controlled target tissue just, can not lose too much blood in the process of cutting, reduce the probability of blood transfusion, also reduced the generation of postoperative complication.And the present invention can make two ultrasonic therapeutic heads work simultaneously, has shortened allowing the needed time of otch generation coagulation necrosis, has also guaranteed the haemostatic effect to destination organization.
That the present invention also has is simple in structure, the treatment cost is low, wide (ultrasonic transducer is passable for purposes
Select different specifications as required) etc. advantage.
The specific embodiment
Shown in Fig. 1-12, the present invention includes handle 1, two ultrasonic therapeutic heads that are oppositely arranged and make two ultrasonic therapeutic heads in the clamp moving process, remain parallel mobile parallel moving mechanism.Handle 1 is a tong-like, and two ultrasonic therapeutic heads are installed on the front end of tong-like handle 1 relatively, its dead in line.
Ultrasonic therapeutic head comprises ultrasonic transducer 9, fluidic fluid container 8 can be housed, and ultrasonic transducer 9 places in the fluid container 8, and the open-mouth of fluid container 8 is fixed with sound passing membrane 11 by sealing device.
Ultrasonic transducer 9 can adopt and focus on or the non-focusing transducer.Focused transducer is mainly used in the art in hemostasis and the treated tissue focus such as liver neoplasm, bone tumor and the deep part muscle tumor etc. than the position, deep, the piezoelectric ceramic wafer that focused transducer can be single circle adds lens focus, also can be single sphere shape, single cambered surface piezoelectric ceramic wafer, it can also be the piezoelectric ceramics array that is combined into by a plurality of piezoelectric ceramic wafers same or different size, its type of drive can be that single signal drives, and also multiple signals are pressed the phase control mode driving; The non-focusing transducer is mainly used in the focus of treatment dermatosis and skin superficial, the non-focusing ultrasonic transducer can be single plane piezoelectric ceramic wafer, also can be the piezoelectric ceramics array that is combined into by a plurality of plane piezoelectric ceramic wafers same or different size, its type of drive can be that single signal drives, and also multiple signals are pressed the phase control mode driving.
Also can have notch 16 in the ultrasonic transducer 9, fixedly photogenerator or Ultrasonic-B probe etc. in this notch 16 carry out ultrasonic therapeutic in order to guiding.The locker that the fixed handle position also can be arranged in the middle of two handle heads.
Preferably, this ultrasonic therapeutic head also can include temperature sensor 19, and it is fixed in the one side that two ultrasonic transducers clamp destination organization.
Ultrasonic therapeutic head also can include connection tube 3, and an end of connection tube 3 is connected with fluid container 8, and the other end is connected with the clamp of tong-like handle 1 by union joint 5, and described parallel moving mechanism is connected between the two relative connection tubes 3.The end that described union joint 5 is connected with connection tube 3 has liquid in-out passage and electrical signal paths, and liquid in-out passage and electrical signal paths all are communicated with ultrasonic therapeutic head.
Below in conjunction with embodiment and accompanying drawing, the present invention is described in further detail.
Following examples are indefiniteness embodiment of the present invention.
Embodiment 1:
As shown in Figure 1, the present invention includes handle 1, ultrasonic therapeutic head, parallel moving mechanism.Wherein, handle 1 is a tong-like, connects two handles of handles 1 by pin 2, and ultrasonic therapeutic head is two, is respectively first treatment, 6 and second treatment 7, and it is installed on the front end of tong-like handle 1 clamp relatively, the dead in line of two ultrasonic therapeutic heads.
First ultrasonic therapeutic head 6 and second ultrasonic therapeutic head 7 comprise can be equipped with fluidic fluid container 8, ultrasonic transducer 9, sound passing membrane 11, cover plate 12, connection tube 3, connection tube 3 one ends are connected with ultrasonic transducer 9, the other end links to each other with the clamp of handle 1, ultrasonic transducer 9 places in the fluid container 8, sound passing membrane 11 is by sealing device, and promptly cover plate 12 is fixed to the open-mouth of fluid container 8.The fluid that is full of in the fluid container 8 is a de aerated water, and in the present embodiment, fluid adopts pure water, and ultrasonic transducer adopts the single sphere shape piezoelectric ceramic wafer that can focus on, in order to treatment deep and the less focus of volume.
As shown in Figure 2, ultrasonic transducer 9 places on the support 10, and support 10 is connected with the focal length adjustment device 14 of ultrasonic transducer 9, and focal length adjustment device 14 places on the fluid container 8.
Focus adjustment mechanism 14 comprises screw rod 141, sealing ring 142, sealing nut 143, adjusting knob 144 and trip bolt 145, one end and the support 10 of screw rod 141 band boss are threaded, an other end passes fluid container 8 and is connected with sealing nut 143, sealing nut 143 is connected with adjusting knob 144, adjusting knob 144 adopts trip bolt 145 fastening, in order to guarantee sealing, the outer wall place of passing fluid container 8 at screw rod 141 is equipped with sealing ring 142.Rotation adjusting knob 144, drive lower carriage 10 at screw rod 141 seesaws, thereby also make the ultrasonic transducer 9 be placed on the support 10 seesaw, the ultrasonic transducer of this band focus adjustment mechanism can adapt to the treatment of satisfying the different focus degree of depth under the identical situation of tissue thickness.
The frequency of the ultrasonic transducer 9 in first treatment 6 and second treatment 7 can be identical also can be different, and two ultrasonic transducers are driven by two cover driving mechanisms respectively, during treatment, can allow a ultrasonic therapeutic head participate in treatment according to practical situation, also can allow two ultrasonic therapeutic heads all participate in treatment simultaneously.
For the clamp that can make ultrasonic therapeutic pincers in the present embodiment under any aperture, two ultrasonic therapeutic heads are in parastate all the time, the axis that promptly guarantees two ultrasonic therapeutic heads at any time on, is provided with parallel moving mechanism between two clamps of handle 1 all the time.
The realization of parallel moving mechanism has a variety of methods, as shown in Figure 1, in the present embodiment, adopt the parallelogram telescoping mechanism, because parallelogram under any circumstance,, still remain parallelogram no matter how move on its summit, that is to say that its relative both sides are keeping parallelisms all under any circumstance.This parallel moving mechanism is arranged between two connection tubes 3, the contiguous block 15 hinged by a plurality of employing pins constitutes, contiguous block that its outermost end is one jiao 15 is with to be enclosed within on the connection tube 3 slip cap sliding back and forth 4 hinged, and the contiguous block 15 at another angle, outer end is fixed on the clamp.Wherein, slip cap 4 is to guarantee the parallel moving mechanism requisite parts that can freely stretch under external force.
Because first treatment 6, second treatment 7 is separately fixed on two relative connection tubes 3, so the clamp of handle 1 is under any aperture, two connection tube 3 equal keeping parallelisms, and like this, first treatment 6 and second is treated 7 and can parallelly be moved all the time.Clamp is hinged with the union joint 5 that is connected with ultrasonic therapeutic head, and the folding of handle 1 constitutes the power source that two ultrasonic therapeutic heads are done the opposing parallel motion.
Among Fig. 1, the sidewall that connection tube 3 passes fluid container 8 is fixedlyed connected with fluid container 8, and the other end of connection tube 3 is connected with the clamp of handle 1 by union joint 5.As shown in Figure 3, union joint 5 inside have three Kong Lu, and these three Kong Lu are communicated with ultrasonic therapeutic head, respectively as intake tunnel, backwater channel, the electrical signal paths of ultrasonic therapeutic head 9.Therefore, union joint 5 is the supporting arrangement of slip cap 4, is again the passage in circuit and water route among the present invention.In the present embodiment, intake tunnel and backwater channel all are communicated with fluid container 8, and the pure water in the fluid container 8 is again the liquid coolant of ultrasonic transducer 9 both as super acoustical coupling medium simultaneously, by flowing of pure water, can take away the heat that ultrasonic transducer 9 produces in the therapeutic process rapidly.
In the present embodiment, all Movable joint of treatment pincers all adopts pin 2 to connect.The pin purpose of connecting is in order to guarantee in Movable joint place except that a rotary freedom, the degree of freedom in other orientation all is limited, therefore the present invention can not produce phenomenons such as twisting, string be moving, remains balance with the assurance ultrasonic therapeutic head when clamp carries out open and close movement.
As shown in figure 14, the present embodiment ultrasonic therapeutic pincers can with an external host control system 25 use that combines.Two little Multihole flexible pipes 24 link to each other with two union joints 5 respectively, each little Multihole flexible pipe 24 has the Kong Lu that communicates with 5 three Kong Lu of union joint, by a joint two little Multihole flexible pipes 24 are linked to each other with a big Multihole flexible pipe 26 again, in the big Multihole flexible pipe 26 Kong Lu that communicates with the Kong Lu of two little Multihole flexible pipes 24 is arranged, big Multihole flexible pipe 26 links to each other with host computer system 25.
As shown in figure 13, in the main frame control system 25, holding wire 257 links to each other with control assembly 253, provides the signal of telecommunication in order to give ultrasonic transducer 9; Water pump 254 is placed on the water tank 255 and links to each other with control assembly 253, pure water in the control lower header 255 of control assembly 253 enters in the water inlet pipe 259, water inlet pipe 259 links to each other with intake tunnel in the big Multihole flexible pipe 26, and pure water is finally finally got back to again in the water tank 255 by return pipe 258.
When using present embodiment treatment pincers, as shown in figure 14, at first promoting castor 256 makes main frame control system 25 near destination organization, select to participate in the ultrasonic therapeutic head number of treatment according to the needs of operation, treat simultaneously as selecting two ultrasonic therapeutic heads, by control handle 1, make two ultrasonic therapeutic heads clamp destination organization then, regulate by the focal length of 14 pairs of ultrasonic transducers 9 of focus adjustment mechanism again; Then in three passages of union joint 5, under the control of control assembly 253, the a certain component of holding wire 257 is powered pumping signal indescribably to two ultrasonic transducers 9, give by water inlet pipe 259 simultaneously and inject the cooling medium of pure water in the fluid container 8 as super acoustical coupling medium and ultrasonic transducer 9, for water can be fully used, pure water finally reclaims by return pipe 258; When parallel moving mechanism was made stretching motion under the drive of handle 1, it is parallel that two ultrasonic therapeutic heads remain, and ultrasonic transducer 9 emission ultrasonic energies finally form the coagulation necrosis zone in destination organization.If purpose is used the present invention in order to stop blooding, then make ultrasound wave need to focus between cutting zone and the reserve area and form a coagulation necrosis district in operation, make the tissue necrosis in the one's respective area, blood coagulation, the doctor is during with scalpel excision focus zone (such as the lesion tissue that hepatectomizes etc.), can severe loss of blood in the process of cutting, reduced the probability of blood transfusion, also reduced the generation of post-operative complication, if focuses such as treatment tumor, the ability that then finally makes these focuses lose propagation, soak into and shift.
Embodiment 2:
As shown in Figure 4, present embodiment and embodiment 1 difference mainly are that ultrasonic transducer adopts the single cambered surface piezoelectric ceramic wafer that can focus in the present embodiment, and this kind ultrasonic transducer is mainly used in the art hemostasis and to organizing volume bigger focus in deep to treat.Simultaneously, there is not focal length adjustment device 14 on two ultrasonic therapeutic heads in the present embodiment, thus different among support 10 shapes of ultrasonic transducer 9 and the embodiment 1, on the support 10 feet is arranged, feet is fixed in the ultrasonic therapeutic head, and the effect of feet mainly is to make support more firm, stable.
Other structures of present embodiment and using method are all identical with embodiment 1.
Embodiment 3:
As shown in Figure 5, in the present embodiment, have notch 16 in two ultrasonic transducers 9, be fixed with photogenerator 17 by mode such as bonding in the notch 16, treat accurately in order to guiding ultrasonic transducer 9, before treatment, the operator can locate the position of ultrasonic therapeutic head on the destination organization surface according to the position of photogenerator 17 light emitted bundles, with focal zone and photogenerator 17 light beams of determining the treatment head position of intersection point is arranged, so that treat accurately.
In the present embodiment, ultrasonic transducer 9 adopts the piezoelectric ceramics array that is combined into by a plurality of piezoelectric ceramic wafers same or different size, the type of drive of this array is that multiple signals drive by phase control mode, like this, the operator can be according to practical situations such as the depth excitation ultrasonic transducer 9 of focus, make focus more accurate, energy is more suitable for.
Ultrasonic therapeutic pincers of the present invention and main frame control system 25 combine when using, and have one group to provide electric excitation signal to two ultrasonic transducers 9 in the holding wire 257, and other has one group to provide electric excitation signal to two photogenerators 17.
Other structure of present embodiment and using method are all identical with embodiment 2.
Embodiment 4:
As shown in Figure 6, have notch 16 on the ultrasonic transducer 9, be fixed with supersonic imaging apparatus in the notch 16, in the present embodiment, supersonic imaging apparatus adopts Ultrasonic-B probe 18, in order to the destination organization imaging, with the treatment of guiding ultrasonic therapeutic pincers of the present invention.In arbitrary notch 16 Ultrasonic-B probe 18 can be installed in first treatment 6 and second treatment 7, in the present embodiment, it be installed in the notch 16 of first treatment 6.
This ultrasonic therapeutic pincers and main frame control system 25 combine when using, and by 18 pairs of destination organization imagings of Ultrasonic-B probe, the result according to imaging treats destination organization.
Other structure of present embodiment and using method are all identical with embodiment 2.
Embodiment 5:
As shown in Figure 7, because due to illness the kitchen range size is different with shape in the actual use, require the type of focusing of ultrasonic transducer also different, between union joint 5 and first treatment 6, second treatment 7, a rotatable adaptor of 90 ° 22 is arranged, first treatment 6, second treatment 7 can rotate freely on adaptor 22, can carry out the conversion of the horizontal and vertical type of focusing.
Simultaneously, on handle 1, also be added with locker 26, when parallel moving mechanism when doing stretching motion to the appropriate location under the drive of handle 1, available this locker 26 is with the fixed-site of two handles 1.
Other structure of present embodiment and using method are all identical with embodiment 2.
Embodiment 6:
As shown in Figure 8, the present embodiment parallel moving mechanism adopts flexible pipe structure, be telescopic tube assembly 20, this telescopic tube assembly 20 is nested together by the different hollow pipe of diameter and forms, and little hollow pipe is enclosed within the big hollow pipe and can freely stretch (identical with the principle of collapsible mast).Fig. 9 is the structural representation of single-unit telescoping tube 21, all has positive stop lug boss on every joint hollow pipe, can not pull out the big hollow pipe outside being enclosed within it to prevent the medium and small hollow pipe of telescopic process.The hollow pipe of this different-diameter can have a plurality of according to the needs for the treatment of, in order to guarantee free telescopic slide, telescopic tube assembly 20 adopts the single-unit telescoping tubes 21 of two joint different-diameters to be sleeved on composition together at least.Adopt three joint single-unit telescoping tubes in the present embodiment.
In the present embodiment, ultrasonic transducer 9 adopts non-focusing circular piezoelectric ceramic wafers, is used for the treatment of dermatosis and shallow table focus etc.As shown in figure 10, ultrasonic transducer 9 is fixed on the support 10.Owing to the circle that is shaped as of ultrasonic transducer 9, therefore the profile of two relative ultrasonic therapeutic heads also adopts circle.Nos focal length adjustment device 14 in first treatment 6 and second treatment 7, so the shape of support 10 is different with embodiment 1, support 10 has feet, feet is fixed in the ultrasonic therapeutic head, the effect of feet mainly be make support firm, stablize.
Other structures of present embodiment and using method are all identical with embodiment 1.
In the present embodiment, first treatment 6 and second treatment 7 is fixed on the front end of 1 two clamps of handle respectively by union joint 5, and the two ends of telescopic tube assembly 20 are separately fixed on two relative connection tubes 3.When telescopic tube assembly 20 was made stretching motion under the drive of handle 1, first ultrasonic therapeutic head 6 remained parallel moving with second ultrasonic therapeutic head 7.
Embodiment 7:
As shown in figure 11, present embodiment is except parallel moving mechanism adopts telescopic tube assembly 20, and other structures and using method are all identical with embodiment 3.
Embodiment 8:
As shown in figure 12, present embodiment is except parallel moving mechanism adopts telescopic tube assembly 20, and other structures are all identical with embodiment 4 with using method.
Embodiment 9:
As shown in figure 13, parallel moving mechanism adopts telescopic tube assembly 20 in the present embodiment.In addition, to burn in order preventing from destination organization caused, include temperature sensor 19 in first treatment, 6, second treatment 7, it is fixed on the one side that two ultrasonic transducers 9 clamp destination organizations.Because it is frivolous that the diaphragm type temperature sensor has, so adopt the diaphragm type temperature sensor in the present embodiment.
Other structure of present embodiment is identical with embodiment 2.
As shown in figure 14, when the ultrasonic therapeutic pincers of present embodiment and host computer system 25 combine when using, there is one group to provide electric excitation signal in the holding wire 257 to two ultrasonic transducers 9, one group provides the temperature monitoring signal to temperature sensor 19, its detected temperature is handled the back by control assembly 253 to be shown by the display in the main frame control system 25 251, the operator is according to data presented, to judge whether to proceed treatment, if need stop treatment, then finish treatment by action button 252.